Table 1 Overview of the patients where the guidelines were not followed
N | Details | Overall Outcome | |
|---|---|---|---|
Undertriage | 104 (18.0%) | ||
Discharged despite indication for direct CT | 7 (6.7%) | 5 < age 65 on platelets inhibitors | In total 38 patients (6.6%) did not receive recommended assessments (Clinically undertriaged). No negative outcomes were recorded in EPR |
2 on novel oral anticoagulants (NOAC) | |||
S100B despite indication for direct CT | 75 (72.1%) | 52 positive S100B and 43 of these underwent a CT scan. | |
23 negative S100B, but CT was performed for 21 cases. | |||
Discharged despite indication for S100B | 8 (7.7%) | Guideline deviated based on clinical assessment. | |
Discharged despite positive S100B | 14 (13.5%) | Guideline deviated based on clinical assessment | |
Overtriage | 109 (18.9%) | ||
Direct CT despite indication for S100B | 27 (24.8%) | In situations where S100B is not available, this would be correct triaging. But S100B was available in the whole study period. | In total minimum unnecessary CT scans = 40 (10.1%*) Unnecessary S100B samples = 47 (21.3%**) |
CT despite negative S100B (Indicated samples) | 31 (28.4%) | All CT’s were negative | |
S100B despite indication for direct discharge | 47 (43.1%) | 25 Positive S100B, resulting in 9 CT scans. All negative | |
22 negative S100B samples |